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Dowagiac Police Department Badge Request Form

Please use this form to request the creation of a badge for officers in the Dowagiac Police Department.

If there is an official photo available for the officer, it may be uploaded with this form.

Otherwise, the officer should contact either one of the parties listed below who are employees at Southwestern Michigan College to schedule a convenient time for the officer to come to the Dowagiac campus of SMC to have their photo taken and their badge created while they wait. With a scheduled appointment, this process should only take 15 minutes. This form should be completed by the Director of Public Safety prior to the photo appointment.

Select "Replacement" if the officer's previous badge from SMC was lost or damaged.
Select "Employment Terminated" to notify SMC to remove access permissions for an officer who is no longer employed with the Dowagiac Police Department.

Officer's Personal Information

Full Name *

Title *

Mcoles No.

Height *

Weight *

Hair Color *

Eye Color *

Date of Birth *

Month

Day

Year

Phone *

Phone, part 1

-

Phone, part 2

-

Phone, part 3

Effective Date

Effective Date *

Month

Day

Year

Please indicate the effective date of the officer's employment. (Note: Badge will not be created prior to this date)

Badge Photo

Replacement Photo *

There is a photo already on file that was used for the previous badge that is being replacement. Do you want us to reuse this photo or do you want to submit a photo or have a new one taken?